Colgan, Timothy Kelly

Colgan, Timothy Kelly is an individual health care provider with primary practice located at 755 N 11Th St Ste P2280 , Beaumont TX 77702-1525. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Nuclear Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Colgan, Timothy Kelly can be contacted via phone (409) 236-4900.

Contact Information

Primary practice address
755 N 11Th St Ste P2280 Beaumont TX 77702-1525
Phone: (409) 236-4900
Fax: (409) 236-4901
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X MD2016-0640 New Mexico
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD2016-0640 New Mexico
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X G2674 Texas
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X G2674 Texas
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X G2674 Texas

Profile Details

NPI number 1730186610
LBN Legal business name Colgan, Timothy Kelly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Jan 25th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730186610 NPPES
Texas MEDICAID 080142501
Texas MEDICAID 115955005

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